Active NPI
Matthew James Macdonald, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Hackensack, NJ
National Provider Identifier
1346810330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 25MA13031200
- Practice address
- Northeast Regional Epilepsy Group
20 Prospect Ave Suite 800
Hackensack, NJ 07601 - Phone
- (201) 343-6676
- Fax
- (201) 343-6689
- NPI assigned
- Jun 30, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Epilepsy Physician | 2084E0001X | 341624 | NY | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 25MA13031200 | NJ | Primary |
Addresses
Primary practice location
Northeast Regional Epilepsy Group
20 Prospect Ave Suite 800
Hackensack, NJ 07601
Mailing address
Northeast Regional Epilepsy Group
20 Prospect Ave Suite 800
Hackensack, NJ 07601
Phone (201) 343-6676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Toronto, Faculty of Medicine, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
333 Westchester Ave
Suite E104
White Plains, NY 10604-2930
PO Box
Chattanooga, TN 37422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA13031200 | NJ | MD | Neurology with Special Qualifications in Child Neurology Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Hackensack, NJ
- NPI 1013998830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1346810330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NORTHEAST REGIONAL EPILEPSY GROUP",
"address_2": "20 PROSPECT AVE SUITE 800",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "07601",
"telephone_number": "201-343-6676",
"fax_number": "201-343-6689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NORTHEAST REGIONAL EPILEPSY GROUP",
"address_2": "20 PROSPECT AVE SUITE 800",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "07601",
"telephone_number": "201-343-6676",
"fax_number": "201-343-6689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-30",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "NY",
"license": "341624",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "NJ",
"license": "25MA13031200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.